JP3062585B2 - Catheter device - Google Patents
Catheter deviceInfo
- Publication number
- JP3062585B2 JP3062585B2 JP3045427A JP4542791A JP3062585B2 JP 3062585 B2 JP3062585 B2 JP 3062585B2 JP 3045427 A JP3045427 A JP 3045427A JP 4542791 A JP4542791 A JP 4542791A JP 3062585 B2 JP3062585 B2 JP 3062585B2
- Authority
- JP
- Japan
- Prior art keywords
- sleeve
- catheter
- elongated member
- distal end
- tip
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0015—Gastrostomy feeding-tubes
- A61J15/0023—Gastrostomy feeding-tubes inserted by using a sheath
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0041—Catheters; Hollow probes characterised by the form of the tubing pre-formed, e.g. specially adapted to fit with the anatomy of body channels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0003—Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
- A61J15/0007—Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth inserted by using a guide-wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/003—Means for fixing the tube inside the body, e.g. balloons, retaining means
- A61J15/0034—Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters
- A61J15/0038—Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters expandable, e.g. umbrella type
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M2025/0163—Looped catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Biomedical Technology (AREA)
- Anesthesiology (AREA)
- Pulmonology (AREA)
- Biophysics (AREA)
- Gastroenterology & Hepatology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- External Artificial Organs (AREA)
- Materials For Medical Uses (AREA)
Abstract
Description
【0001】[0001]
【産業上の利用分野】本発明は、カテーテルのような医
療装置に関する。The present invention relates to medical devices such as catheters.
【0002】[0002]
【従来の技術】カテーテルは患者からの廃液の抽出と患
者への医薬の注入に用いられている。このカテーテルに
ついての1つの問題点は、それらが簡単に移動してしま
い、偶発的に腹部の空腔にそのサイドポートを引き込
み、その結果、重大な感染症を引き起こしてしまうこと
である。2. Description of the Related Art Catheters are used for extracting waste fluid from patients and injecting medicines into patients. One problem with these catheters is that they move easily and inadvertently draw their side ports into the abdominal cavity, causing serious infections.
【0003】種々のカテーテルが開発され、その先端部
がいわゆるピグテールカテーテルと称されるものは、ブ
ラダ(空腔)からの廃液を可能にし、カテーテルが空腔
から偶発的に脱落するのを阻止するものである。このピ
グテールカテーテルは、保持装置により正常な位置に保
持されているフレキシブルな引張り部材により制御され
る。米国特許第1207479号と第3924677号
明細書にそのような保持装置の2つの形態が開示されて
いる。[0003] A variety of catheters have been developed, the so-called pigtailed catheter tips, which allow drainage from the bladder (cavity) and prevent the catheter from accidentally falling out of the cavity. Things. The pigtail catheter is controlled by a flexible pull member which is held in a normal position by a holding device. U.S. Pat. Nos. 1,207,479 and 3,924,677 disclose two forms of such a holding device.
【0004】[0004]
【発明が解決しようとする課題】このような従来装置は
使用するのに不便であり、患者により偶発的にまた部分
的に脱落してしまう事があった。本発明の目的は、患者
により偶発的にも脱落しないカテーテル装置を提供する
ことである。Such conventional devices are inconvenient to use, and may be accidentally or partially dropped off by the patient. It is an object of the present invention to provide a catheter device that will not accidentally fall off by the patient.
【0005】[0005]
【課題を解決するための手段】上記課題を解決するため
に、本発明のカテーテル装置は特許請求の範囲に記載し
たとうりである。ロック可能なスリーブは、細長部材に
係合し好ましくはこの細長部材の根元部の領域に係合す
る。この細長部材の根元部はスリーブより伸びているか
あるいはスリーブ内に配置されている。In order to solve the above problems, a catheter device according to the present invention is described in the appended claims. The lockable sleeve engages the elongate member and preferably engages in the region of the root of the elongate member. The root of the elongate member extends from the sleeve or is located within the sleeve.
【0006】一実施例において、引張り部材がスリーブ
より伸びスリーブの根元部に接続される。スリーブの先
端部が細長部材根元部方向へ引っ張られると、引張り力
を与え、引張り部材を動かす。In one embodiment, a tension member extends from the sleeve and is connected to the root of the sleeve. When the distal end of the sleeve is pulled toward the base of the elongated member, a tensile force is applied to move the tensile member.
【0007】他の実施例においては、引張り部材はスリ
ーブの先端部に接続され、この引張り部材は、スリーブ
先端部を細長部材先端部方向へ移動することにより、動
かされる。この引張り部材はスリーブの適当なところで
接続することも可能である。In another embodiment, a tension member is connected to the distal end of the sleeve, and the tension member is moved by moving the distal end of the sleeve toward the distal end of the elongated member. The tension member can be connected at an appropriate point on the sleeve.
【0008】このスリーブと細長部材とは、スリーブの
突起部(凸部)と細長部材の凹部(あるいは部材周囲の
カラーの凹部)とで係合する。突起部と凹部とは相互に
置換可能であり、また、他の係合手段も可能である。[0008] The sleeve and the elongated member are engaged with each other by the projection (convex portion) of the sleeve and the concave portion of the elongated member (or the concave portion of the collar around the member). The projection and the recess can be replaced with each other, and other engagement means are also possible.
【0009】[0009]
【実施例】図1は、患者に経皮的に挿入される前の非係
止位置にあるカテーテル101を示す。図2に示すよう
に、カテーテル101は、(直線状の)強化カニョーレ
126を有し、ワイヤガイド103がブラダ(空腔)1
02内に挿入されている。カテーテル101が挿入され
る前に、スタイレットを具備する薄壁針(図示せず)が
腹部壁130を貫通して経皮的にブラダ(内袋)102
内に挿入される。このスタイレットは除去され、ワイヤ
ガイド103は、この薄壁針を介してブラダ(内袋)1
02内に挿入される。その後この薄壁針は除去され、ワ
イヤガイド103はその位置に残される。通常拡張器が
ワイヤガイド103を覆うように使用され貫通部のサイ
ズを大きくする。カニョーレ126を有する廃液カテー
テル101がそこに挿入され、その後ワイヤガイド10
3を介してブラダ102内に挿入される。1 shows a catheter 101 in an unlocked position prior to percutaneous insertion into a patient. As shown in FIG. 2, the catheter 101 has a (linear) reinforced cannole 126 and the wire guide 103 has a bladder (cavity) 1.
02. Before the catheter 101 is inserted, a thin-walled needle (not shown) with a stylet penetrates the abdominal wall 130 and transcutaneously into the bladder 102.
Is inserted into. The stylet is removed, and the wire guide 103 is connected to the bladder (inner bag) 1 via the thin-walled needle.
02. The thin-walled needle is then removed, leaving the wire guide 103 in its place. Usually a dilator is used to cover the wire guide 103 to increase the size of the penetration. A waste catheter 101 having a cannole 126 is inserted therein, after which the wire guide 10
3 is inserted into the bladder 102.
【0010】図1,2に示すように、カテーテル101
は、細長部材104と(この細長部材104ロック可能
な)スリーブ110とを有する。両者ともフレキシブル
なプラスチック材料で形成されるが、その直径は異な
る。細長部材104は、テーパー状の先端部105と、
末広の根元部106とその間の空洞軸方向通路107を
有する。[0010] As shown in FIGS.
Has an elongated member 104 and a sleeve 110 (which can be locked). Both are formed of a flexible plastic material, but have different diameters. The elongated member 104 has a tapered tip portion 105,
It has a divergent root 106 and a hollow axial passage 107 therebetween.
【0011】先端部105は、所定の形状(例:ピグテ
ール)に予め変形している。複数のサイドポート108
が細長部材104の壁を貫通してその先端部105近傍
に形成され、通路107からは、尿などの液体が流入し
たり医薬が排出したりする。この通路107は、細長部
材104の極先端部に開口109を有する。この開口1
09からカテーテルがワイヤガイド103を介して患者
内に挿入され、通路107への廃液の抽出ができる。The tip portion 105 is previously deformed into a predetermined shape (eg, pigtail). Multiple side ports 108
Is formed in the vicinity of the distal end portion 105 through the wall of the elongated member 104, through which a liquid such as urine flows or a medicine is discharged from the passage 107. This passage 107 has an opening 109 at the extreme tip of the elongated member 104. This opening 1
From 09, the catheter is inserted into the patient via the wire guide 103, and the waste liquid can be extracted into the passage 107.
【0012】カニューレ126がカテーテルの通路10
7を介して挿入され(図2)、予め変形した先端部10
5を直線状にし、ワイアガイド103を介してブラダ1
02内に経皮的に挿入される。カテーテル101の細長
部材104がブラダ102内に挿入されると、カニュー
レ126とワイアガイド103とが通路107から除去
される。[0012] The cannula 126 is inserted into the passage 10 of the catheter.
7 (FIG. 2), which has been previously deformed.
5 is straightened, and the bladder 1 is
02 percutaneously. When the elongated member 104 of the catheter 101 is inserted into the bladder 102, the cannula 126 and the wire guide 103 are removed from the passage 107.
【0013】同様に、スリーブ110は、テーパー状の
先端部111と根元部112とその間の空洞軸方向通路
113を有する。実施例では、細長部材104は、1
0.2フレンチのポリウレタン材料製のチューブで約3
2cmの長さがある。一方、スリーブ110は、20フ
レンチのポリウレタン材料製のチューブで約6.5cm
の長さがある。図示するように、細長部材104の末広
の根元部106とそれに固定している係止カラー114
は、スリーブの通路113内に配置され、その通路11
3中を軸方向に移動可能である。Similarly, sleeve 110 has a tapered tip 111, a root 112, and a hollow axial passage 113 therebetween. In an embodiment, the elongated member 104 comprises one
About 3 tubes with 0.2 French polyurethane tube
There is a length of 2 cm. On the other hand, the sleeve 110 is a tube made of a polyurethane material of 20 French and is approximately 6.5 cm in length.
There is a length. As shown, the divergent root 106 of the elongated member 104 and the locking collar 114 secured thereto.
Is located in the passage 113 of the sleeve,
3 is movable in the axial direction.
【0014】通常管状の係止カラー114は、その軸方
向に2個の円錐コーン127,128を有する。これら
の円錐コーン127,128は、互いに反対方向に対向
してカラー114の沿って配置され、互いの反対側に傾
斜面115,116を有する。各コーン127,128
のベース面117,118とその間のカラー114の外
面とは管状凹部(例:グローブまたはチャネル)119
を形成する。スリーブ110は、カラー114に対し軸
方向に移動可能である。The generally tubular locking collar 114 has two conical cones 127, 128 in its axial direction. These conical cones 127, 128 are arranged along the collar 114 in opposition to each other and have inclined surfaces 115, 116 on opposite sides. Each cone 127, 128
The base surfaces 117, 118 and the outer surface of the collar 114 therebetween have a tubular recess (eg, glove or channel) 119.
To form Sleeve 110 is axially movable with respect to collar 114.
【0015】スリーブの先端部111は、突起部(例:
管状リッジまたは管状段)120を有し、この突起部1
20は、通路113の内側に突出し、カラー114の管
状凹部119と係合する。スリーブ110の先端部11
1の突起部120は、スリーブ110の先端部111が
傾斜面115を軸方向(図1においてスリーブ110を
右細長部材104を左)に動かしたときに、カラー11
4の管状凹部119にパチンと嵌まる大きさである。The distal end portion 111 of the sleeve is provided with a protrusion (for example,
A tubular ridge or tubular step) 120,
20 projects into the passage 113 and engages the tubular recess 119 of the collar 114. Tip 11 of sleeve 110
The protrusion 120 of the collar 11 moves when the front end 111 of the sleeve 110 moves the inclined surface 115 in the axial direction (the sleeve 110 in FIG. 1 moves the right elongated member 104 to the left).
4 is a size that snaps into the tubular recess 119.
【0016】その結果、突起部120は、カラー114
の管状凹部119にパチンと嵌まる。通路113の突起
部120の最小直径は、管状凹部119内のカラーの外
面の最大径以下である。この2つの径は、突起部120
が管状凹部119に係合する際に、突起部120と凹部
119との間に緊密な嵌め合いが形成され、この係合部
を介する液体の流れが阻止される大きさである。カラー
の傾斜面116と細長部材の末広先端部106とは、ス
リーブ110の通路113内の液体の流れを阻止する。As a result, the protrusion 120 is
Snaps into the tubular recess 119. The minimum diameter of the protrusion 120 of the passage 113 is less than or equal to the maximum diameter of the outer surface of the collar in the tubular recess 119. These two diameters correspond to the protrusion 120
When the is engaged with the tubular recess 119, a tight fit is formed between the projection 120 and the recess 119, and the size is such that the flow of the liquid through the engagement portion is prevented. The inclined surface 116 of the collar and the divergent tip 106 of the elongated member prevent the flow of liquid in the passage 113 of the sleeve 110.
【0017】廃液用カテーテルは、通路107と通路1
13を貫通するフレキシブルな引張部材121を有す
る。引抜きポート122,123は、細長部材104の
壁を貫通して、ドレインポート108の近傍に形成され
る。フレキシブルな引張部材121は、通路107内か
ら引抜きポート122を介して細長部材104の外部に
出て、引抜きポート123を介して通路107の内部に
戻る。The waste liquid catheter is connected to the passage 107 and the passage 1.
13 has a flexible tension member 121 penetrating therethrough. The extraction ports 122 and 123 are formed near the drain port 108 through the wall of the elongated member 104. The flexible tension member 121 exits the elongated member 104 from the inside of the passage 107 via the extraction port 122 and returns to the inside of the passage 107 via the extraction port 123.
【0018】フレキシブルな引張部材121は、引抜き
ポート122,123を介してループ状に張られ(図
1)、このループ状の引張部材121は、細長部材10
4の先端部105が所望のピグテールの形状(図3)に
なる位置まで引かれる(図1においてスリーブ110を
右細長部材104を左に移動される)。この引張部材1
21の端部は、スリーブ110に、好ましくは、スリー
ブ110の壁と公知のルアーロックコネクタであるクラ
ンプ手段124の外部面との間のスリーブ110の根元
部112に固定される。このフレキシブルな引張部材
(例:市販の4−0テブデック縫合糸)121は、例え
ば、ロックタイト401シーリング化合物を用いて、ス
リーブ110の壁とクランプ手段124の面の間に固定
される。The flexible tension member 121 is stretched in a loop through the drawing ports 122 and 123 (FIG. 1).
4 is pulled to a position where the desired pigtail shape (FIG. 3) is obtained (in FIG. 1, the sleeve 110 is moved to the right and the elongated member 104 to the left). This tension member 1
The end of 21 is fixed to the sleeve 110, preferably to the root 112 of the sleeve 110 between the wall of the sleeve 110 and the outer surface of the clamping means 124, which is a known luer lock connector. This flexible tension member (eg, commercially available 4-0 Tebdec suture) 121 is secured between the wall of the sleeve 110 and the surface of the clamping means 124 using, for example, a Loctite 401 sealing compound.
【0019】細長部材104の先端部105はブラダ1
02内に挿入されるように十分に伸び、スリーブ110
はクランプ手段124に隣接した位置にある末広根元部
106とは非係止位置にある。通常、クランプ手段12
4はその先端部がテーパを有するよう構成される。末広
根元部106はこのクランプ手段124のテーパ状の先
端部を収納する。末広根元部106はスリーブ110の
壁に適合し、液体の流れとその間の引張部材121の動
きを阻止する。The tip 105 of the elongated member 104 is bladder 1
02 to extend into the sleeve 110
Is in a non-locking position with the divergent root portion 106 located at a position adjacent to the clamping means 124. Usually, the clamping means 12
Numeral 4 is configured so that its tip has a taper. The divergent root base 106 accommodates the tapered tip of the clamping means 124. The divergent root 106 conforms to the wall of the sleeve 110 and prevents liquid flow and movement of the tension member 121 therebetween.
【0020】図3には、スリーブ110が十分に引かれ
てロックされ、先端部105がピグテール形状に配置さ
れたカテーテル101の断面が示されている。細長部材
104の先端部105のピグテール形状は、カテーテル
101のブラダ102からの脱落を阻止する保持装置と
して機能する。係止状態では、細長部材104の根元部
106はスリーブ110に沿って軸方向に移動し、突起
部(管状リッジ)120がカラー114の管状凹部11
9と係合する。FIG. 3 shows a cross section of the catheter 101 with the sleeve 110 fully pulled and locked and the tip 105 arranged in a pigtail configuration. The pigtail shape of the distal end portion 105 of the elongated member 104 functions as a holding device for preventing the catheter 101 from falling off the bladder 102. In the locked state, the base 106 of the elongate member 104 moves axially along the sleeve 110 and the protrusion (tubular ridge) 120
9 is engaged.
【0021】スリーブ110が(図1において細長部材
104に対し右側に)引かれると、細長部材104の管
状凹部119に係合して固定され、通路107を貫通し
て引抜きポート122と123の間にループ状に張られ
た引張り部材121の長さが短くなる。これにより、細
長部材104の先端部105をピグテール形状(図3)
にする。保持ディスク129は、腹部壁130の外表面
の細長部材104の周囲にタイ125で固定され、廃液
カテーテルを患者に確実に固定する。フレキシブルな細
長部材104は、90度保持ディスク(図示せず)を用
いて患者の体に沿って曲げてもよい。When the sleeve 110 is pulled (to the right with respect to the elongate member 104 in FIG. 1), it is engaged and secured in the tubular recess 119 of the elongate member 104 and passes through the passage 107 between the withdrawal ports 122 and 123. The length of the tension member 121 that is stretched in a loop shape becomes shorter. As a result, the tip 105 of the elongated member 104 has a pigtail shape (FIG. 3).
To The retaining disc 129 is secured with a tie 125 around the elongate member 104 on the outer surface of the abdominal wall 130 to securely secure the waste catheter to the patient. The flexible elongate member 104 may be bent along the patient's body using a 90 degree retaining disc (not shown).
【0022】図4に廃液用カテーテルの先端部の他の実
施例が示されている。この実施例では、カテーテルの細
長部材402の先端部401は、患者の胆汁臓器システ
ムにその先端部を保持する公知の形状をしている。複数
の廃液ポート403,404が細長部材402の先端部
と主体の周囲に形成されている。FIG. 4 shows another embodiment of the distal end portion of the waste catheter. In this embodiment, the distal end 401 of the elongate member 402 of the catheter has a known shape that retains the distal end in the patient's bile organ system. A plurality of waste liquid ports 403 and 404 are formed around the distal end of the elongated member 402 and the main body.
【0023】図5に廃液用カテーテルの先端部の第2の
他の実施例が示されている。特に、細長部材502の先
端部501は、ピグテール形状に形成され、その先端部
はピグテールの湾曲部分からさらに先に伸びている。こ
のような形状は、経皮的に挿入される胃フィステル形成
用供給チューブとして機能できる。FIG. 5 shows a second alternative embodiment of the distal end of the waste catheter. In particular, the tip 501 of the elongated member 502 is formed in a pigtail shape, with the tip extending further from the curved portion of the pigtail. Such a shape can function as a percutaneously inserted delivery tube for gastric fistula formation.
【0024】カテーテルの先端部は、患者の体のいかな
る部分にも配置保持できるよう、所望の形状に予め形成
することができる。更に、廃液用カテーテルのロック可
能なスリーブは、Oリングシール等でロック可能なカラ
ーまたはスリーブの凹部に係合できるよう、また液体が
スリーブと細長部材の結合部から流出しないよう構成さ
れている。The distal end of the catheter can be pre-formed into a desired shape so that it can be placed and held on any part of the patient's body. Further, the lockable sleeve of the drainage catheter is configured to engage a lockable collar or sleeve recess, such as with an O-ring seal, and to prevent liquid from escaping from the junction between the sleeve and the elongated member.
【0025】同様に、単一の指状突起部を細長部材の根
元部の凹部内に延在させてもよい。しかし、この実施例
ではフレキシブルな引張り部材を結合せずに患者により
簡単に操作できる廃液用カテーテルを説明した。一旦カ
テーテルが係止位置にあると、カテーテルは液体を患者
から排出する閉鎖システムを構成する。更に、引張り部
材の一端は、細長部材の先端部に公知の方法で結合さ
れ、引抜きポートを介して引抜き、先端部を所定の位置
に配置する。Similarly, a single finger may extend into the recess at the base of the elongated member. However, in this embodiment, a waste catheter has been described that can be more easily operated by the patient without connecting a flexible pull member. Once the catheter is in the locked position, the catheter constitutes a closed system that drains fluid from the patient. In addition, one end of the tension member is coupled to the distal end of the elongated member in a known manner and is pulled through a withdrawal port to position the distal end in place.
【0026】以上の説明は、本発明の一実施例に関する
もので、この技術分野の当業者であれば、本発明の種々
の変形例が考え得るが、それらはいずれも本発明の技術
的範囲に包含される。尚、特許請求の範囲に記載した参
照番号は、発明の容易なる理解のためのもので、その技
術的範囲を制限するよう解釈されるべきものではない。The above description relates to an embodiment of the present invention, and those skilled in the art can consider various modifications of the present invention, but all of them are within the technical scope of the present invention. Is included. It should be noted that reference numerals described in the claims are for easy understanding of the invention and should not be construed as limiting the technical scope thereof.
【0027】[0027]
【発明の効果】以上述べたごとく、本発明によれば、ス
リーブと細長部材とを単に相対移動させるだけで、細長
部材の先端部をピクテール形状に簡単に変形させ、カテ
ーテルの偶発的な脱落を防止できる。As described above, according to the present invention, by merely moving the sleeve and the elongated member relatively, the distal end of the elongated member can be easily deformed into a pictail shape to prevent accidental dropping of the catheter. Can be prevented.
【図1】本発明の廃液用カテーテルのロック可能なスリ
ーブの部分断面図である。FIG. 1 is a partial cross-sectional view of a lockable sleeve of a waste catheter of the present invention.
【図2】患者のブラダ内に挿入されたカテーテル(図
1)の部分断面図である。FIG. 2 is a partial cross-sectional view of a catheter (FIG. 1) inserted into a patient's bladder.
【図3】係止位置にある図2のカテーテルの部分断面図
である。3 is a partial cross-sectional view of the catheter of FIG. 2 in a locked position.
【図4】患者の胆汁吸引用に使用されるカテーテルの先
端部の他の実施例である。FIG. 4 is another embodiment of the distal end of a catheter used for bile aspiration of a patient.
【図5】胃フィステル形成用注入チューブとして使用さ
れるカテーテルの先端部の第2の実施例である。FIG. 5 is a second embodiment of the distal end of a catheter used as an infusion tube for gastric fistula formation.
101 カテーテル 102 ブラダ 103 ワイヤガイド 104 細長部材 105 先端部 106 根元部 107 通路 108 サイドポート 109 開口 110 スリーブ 119 凹部 120 突起部(管状リッジ) 126 カニューレ 130 腹部壁 Reference Signs List 101 catheter 102 bladder 103 wire guide 104 elongate member 105 tip 106 root 107 passage 108 side port 109 opening 110 sleeve 119 recess 120 projection (tubular ridge) 126 cannula 130 abdominal wall
───────────────────────────────────────────────────── フロントページの続き (72)発明者 フレッド ティ.パーカー アメリカ合衆国 47468 インディアナ モンロー郡 ユニオンビレ (番地無 し) (58)調査した分野(Int.Cl.7,DB名) A61M 25/01 ──────────────────────────────────────────────────続 き Continuation of front page (72) Inventor Fred Tee. Parker United States 47468 Unionville, Indiana Monroe County (no address) (58) Fields surveyed (Int. Cl. 7 , DB name) A61M 25/01
Claims (8)
根元部(106)と、それらの間の通路(107)とを
有する細長部材(104)と、 前記先端部と根元部の間に延在し,前記先端部を所望の
形状(図3)に変形させる引張り手段(121)と、 先端部(111)と根元部(112)とそれらの間の通
路(113)とを有するスリーブ(110)と を有
し、 前記スリーブ(110)は、前記細長部材の根元部(1
06)に接触しながら、前記細長部材の軸方向にそって
移動可能に配置され、 前記引張り手段(121)は、前記スリーブ(110)
に固定され、 前記スリーブ内の細長部材(104)と前記スリーブ
(110)の内部とは、それらが係合位置にきた時それ
らを係合する協動部位(119,120)を有すること
を特徴とするカテーテル装置。A tip (105) inserted into a patient;
An elongate member (104) having a root (106) and a passageway (107) therebetween, extending between the tip and the root to shape the tip into a desired shape (FIG. 3). A sleeve (110) having a tip (111), a tip (111), a root (112) and a passage (113) therebetween, wherein the sleeve (110) is elongated. The base of the member (1
06), while being movably arranged along the axial direction of the elongated member while contacting the elongated member.
Wherein the elongated member (104) in the sleeve and the interior of the sleeve (110) have cooperating portions (119, 120) for engaging them when they are in the engaged position. Catheter device.
にクランプする手段(124)を有し、 前記スリーブ(110)の先端部を細長部材の根元部
(106)方向へ相対移動させることにより、前記引張
り手段が前記細長部材の先端部を所望の形状に変形させ
ることを特徴とする請求項1に記載のカテーテル装置。2. A means (124) for clamping the pulling means to the base of the elongated sleeve, wherein the tip of the sleeve (110) is relatively moved in the direction of the base (106) of the elongated member. The catheter device according to claim 1, wherein the pulling means deforms a distal end of the elongated member into a desired shape.
ら突起した管状リッジ(120)と、前記細長部材の外
面の凹部(119)からなり、 相対移動により、前記管状リッジ(120)と凹部(1
19)とを係合させることを特徴とする請求項1または
2のいずれかに記載のカテーテル装置。3. The cooperating portion comprises a tubular ridge (120) protruding from an inner surface of the sleeve and a recess (119) on an outer surface of the elongate member. (1
The catheter device according to claim 1, wherein the catheter device is engaged with the catheter device.
有し、 前記凹部は(119)は前記カラーの外表面にあり、前
記凹部は前記管状リッジを収納する大きさであることを
特徴とする請求項3に記載のカテーテル装置。4. A collar (114) at the base of the elongated member, wherein the recess (119) is on an outer surface of the collar and the recess is sized to receive the tubular ridge. The catheter device according to claim 3, wherein
は、前記管状カラーの最大外径以下であることを特徴と
する請求項4に記載のカテーテル装置。5. The catheter device according to claim 4, wherein the inner diameter of the opening of the tubular ridge (120) is less than or equal to the maximum outer diameter of the tubular collar.
たは患者からの廃液抽出用に、前記先端部(105)近
傍に複数のポート(108)を有することを特徴とする
請求項1ないし5のいずれかに記載のカテーテル装置。6. The device according to claim 1, wherein the elongated member has a plurality of ports (108) near the tip (105) for injecting medicine into a patient or extracting waste liquid from the patient. 6. The catheter device according to any one of 5.
て、前記先端部近傍の少なくとも1つのポートまで伸び
るフレキシブル引張り部材を有することを特徴とする請
求項1ないし6のいずれかに記載のカテーテル装置。7. The catheter according to claim 1, wherein the pulling means includes a flexible pulling member extending to the at least one port near the distal end along the elongated member. apparatus.
き、前記協動部位は、前記スリーブと細長部材との間の
流体の漏れを阻止するようシールを形成することを特徴
とする請求項1ないし7のいずれかに記載のカテーテル
装置。8. The cooperative portion forms a seal to prevent fluid leakage between the sleeve and the elongate member when the sleeve and the elongate member are locked. 8. The catheter device according to any one of 1 to 7.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US485269 | 1990-02-26 | ||
US07/485,269 US5041085A (en) | 1990-02-26 | 1990-02-26 | Percutaneous lockable sleeve catheter |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH04218168A JPH04218168A (en) | 1992-08-07 |
JP3062585B2 true JP3062585B2 (en) | 2000-07-10 |
Family
ID=23927521
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP3045427A Expired - Fee Related JP3062585B2 (en) | 1990-02-26 | 1991-02-19 | Catheter device |
Country Status (9)
Country | Link |
---|---|
US (1) | US5041085A (en) |
EP (1) | EP0471429B1 (en) |
JP (1) | JP3062585B2 (en) |
AT (1) | ATE143819T1 (en) |
AU (1) | AU648288B2 (en) |
CA (1) | CA2036676C (en) |
DE (1) | DE69122582T2 (en) |
DK (1) | DK0471429T3 (en) |
ES (1) | ES2093675T3 (en) |
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US9381321B2 (en) | 2013-05-03 | 2016-07-05 | Interrad Medical, Inc. | Systems and methods for anchoring medical devices |
CN108938024B (en) * | 2018-07-31 | 2023-11-24 | 江苏健瑞宝医疗科技股份有限公司 | Protective sleeve, spreading wing and minimally invasive fascia abdominal wall stitching instrument |
CN110237402B (en) * | 2019-05-22 | 2021-10-08 | 中国人民解放军陆军军医大学第一附属医院 | Guide wire capable of forming loop |
Family Cites Families (13)
Publication number | Priority date | Publication date | Assignee | Title |
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US1207479A (en) * | 1915-03-05 | 1916-12-05 | Holger Bisgaard | Self-retaining gatheter. |
US3119392A (en) * | 1961-02-14 | 1964-01-28 | Zeiss Alice | Catheter |
FR1460776A (en) * | 1965-10-14 | 1966-01-07 | Porges | Ureteral catheter for dissolution of kidney stones |
US3394954A (en) * | 1966-05-06 | 1968-07-30 | Sarns Inc | Tube coupling for medical appliances |
US3554580A (en) * | 1968-12-02 | 1971-01-12 | Baxter Laboratories Inc | Catheter adapter and process and assembly for its securance |
US3924633A (en) * | 1974-01-31 | 1975-12-09 | Cook Inc | Apparatus and method for suprapubic catheterization |
US4592749A (en) * | 1984-06-22 | 1986-06-03 | Gish Biomedical, Inc. | Catheter system |
US4643720A (en) * | 1986-02-14 | 1987-02-17 | Medi-Tech | Drainage catheter |
US4740195A (en) * | 1986-02-14 | 1988-04-26 | Medi-Tech, Incorporated | Drainage catheter |
US4869719A (en) * | 1986-10-20 | 1989-09-26 | City Of Hope | Anchoring mechanism for an adjustable length percutaneous drainage catheter |
US4969879A (en) * | 1988-07-26 | 1990-11-13 | Gish Biomedical, Inc. | Body fluid interconnect |
DE3831652A1 (en) * | 1988-09-17 | 1990-03-22 | Ruesch Willy Ag | ARRANGEMENT FOR DRAINING BODY CAVES |
US4898577A (en) * | 1988-09-28 | 1990-02-06 | Advanced Cardiovascular Systems, Inc. | Guiding cathether with controllable distal tip |
-
1990
- 1990-02-26 US US07/485,269 patent/US5041085A/en not_active Expired - Lifetime
-
1991
- 1991-02-14 AU AU71048/91A patent/AU648288B2/en not_active Ceased
- 1991-02-19 JP JP3045427A patent/JP3062585B2/en not_active Expired - Fee Related
- 1991-02-19 CA CA002036676A patent/CA2036676C/en not_active Expired - Fee Related
- 1991-02-20 DE DE69122582T patent/DE69122582T2/en not_active Expired - Fee Related
- 1991-02-20 EP EP91301318A patent/EP0471429B1/en not_active Expired - Lifetime
- 1991-02-20 AT AT91301318T patent/ATE143819T1/en not_active IP Right Cessation
- 1991-02-20 DK DK91301318.1T patent/DK0471429T3/en active
- 1991-02-20 ES ES91301318T patent/ES2093675T3/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
JPH04218168A (en) | 1992-08-07 |
CA2036676C (en) | 2002-01-01 |
EP0471429A3 (en) | 1992-05-20 |
US5041085A (en) | 1991-08-20 |
EP0471429B1 (en) | 1996-10-09 |
ES2093675T3 (en) | 1997-01-01 |
CA2036676A1 (en) | 1991-08-27 |
DK0471429T3 (en) | 1997-01-06 |
DE69122582T2 (en) | 1997-03-27 |
AU648288B2 (en) | 1994-04-21 |
AU7104891A (en) | 1991-08-29 |
ATE143819T1 (en) | 1996-10-15 |
DE69122582D1 (en) | 1996-11-14 |
EP0471429A2 (en) | 1992-02-19 |
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